What are the different treatments for hooded eyelids? Hooded eyes can be caused
by redundant eyelid skin drooping brows or combination of both I’ll address how
I treat hooded eyes every day in my practice with non-surgical and surgical
I’m Dr. Amiya Prasad I’m a Board-certified cosmetic surgeon and
Fellowship-trained oculofacial plastic and reconstructive surgeon I’ve been in
practice in Manhattan and Long Island for over 20 years as an oculoplastic
surgeon I can attest to the value of training in ophthalmology or eye surgery
followed by specialized training of the areas around the eyes proper diagnosis
of the different anatomic causes of hooded eyes as it relates to the eyes is
very important additionally understanding the potential impact on
eye health from any procedure performed around the eyes is critical throughout
my career there have been remarkable innovations with neurotoxins fillers and
surgical procedures I routinely incorporate these advances to create
customized strategies for my patients it is very important to properly analyze
the causes of upper eyelid hooding the appearance of excess skin partially
covering the eyes can often mask the presence of other conditions which cause
the eyelids to droop such as eyelid ptosis eyelid ptosis is a condition
where the margin of the eyelid is lower than it would normally be for that
individual eyelid ptosis is generally caused by
she’s affecting the muscle responsible for lifting the eyelids called the
levator muscle not recognizing the presence of ptosis can result in
disappointment in the outcome of procedures where only the skin is
addressed the Browse play an important role when it comes to managing hooded
eyes an observation I’ve made over the course of my career is how impactful the
appearance of the brows have on facial expression if you draw a cartoon and you
want to show happiness anger or surprise you can do that easily withdrawing the
brows in different ways to show those emotions many times patients tell me how
they are afraid of looking always surprised after a brow procedure because
of people they’ve seen who they say had too much Botox or too much surgery I
look at brow enhancement as an opportunity to artistically shape the
brows rather than just lift them in many situations eyelid hooding can be
improved by addressing the brows with the procedure called a Botox brow lift
this is done by using Botox or a similar neurotoxin such as Dysport or XEOMIN the
neurotoxin works by relaxing the depressor muscles in the brow area that
push the brows down by relaxing the depressor muscles which include the
corrugator Pro Cirrus and orbicularis oculi muscles the muscle which raises
the brows called the frontalis muscle works unopposed thereby allowing lifting
of the brows as is the case with any neurotoxin treatment the result can last
three to six months and the procedure needs to be then repeated another
non-surgical approach to brow lifting and shaping to improve hooded eyes is a
technique where injectable fillers are placed to restore volume which is lost caused
by bone loss as well as loss of fat and soft tissue i often place the filler in
the temples and in the strategic areas of the outer aspects of the brows which
through volume correction helped to create a better looking brow shape when
brows descend to a point where neurotoxin and fillers are not going to
be enough surgical options are then considered although I perform all types
of brow lifting surgery including coronal endoscopic and trichophytic brow
lifts I have found myself being more inclined to performing more conservative
skin-based procedures for artistic shaping as opposed to what I was more
inclined to do in the past which was geared more towards lifting
the coronal brow lift has fallen out of favor amongst most cosmetic surgeons but
can still be used in certain patients the procedure is done with a single long
incision made from behind the hairline for the purpose of excising excess skin
and addressed specific muscles another brow lifting technique is the endoscopic
brow lift this involves small incisions made behind the hairline a camera called
an endoscope is used to see the areas to be operated on from these small
incisions an example of a brow lift which is done only at the skin level is
the trichophytic brow lift this procedure is performed from behind
and within the hairline an advantage of this technique is that it allows hair to
grow through the incision for better camouflaging variations of this method
can be employed for brow shaping which can be performed from naturally existing
forehead lines and even directly at the border of the eyebrow hairs when there
is upper eyelid hooding there is often excess soft-tissue in these situations cosmetic
upper eyelid surgery also known as upper eyelid blepharoplasty is the most direct
procedure to addressing eyelid hooding this is a surgical procedure where
redundant eyelid skin known as dramatically sis is carefully measured
excised and sutured to define the upper eyelids my goal is not to remove as much
skin as possible but rather to reveal the true shape of the eyes the artistry
needed in performing upper eyelid blepharoplasty to appear natural for the
individual whether they’re male, female younger, middle-aged, or older and
factoring ethnic specific characteristics cannot be overstated
both surgical brow shaping and upper eyelid blepharoplasty is performed under
local anesthesia with light sedation avoiding issues related to general
anesthesia patients undergoing either or both surgical brow shaping and upper
eyelid blepharoplasty typically return to work in one week with minimal
bruising and swelling approaching the management of upper eyelid hooding
depends on proper evaluation the extent of the hooding the possibility of
coexisting eyelid ptosis and concurrent issues within the eyebrows in my
practice I help my patients make informed decisions based on the specific
factors which contribute to the appearance of their hooded eyes being
satisfied with the outcomes of any procedure or procedures is more likely
when you understand the diagnosis the treatment strategy and what you should
expect afterwards I hope you found this information helpful thank you for your